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Chapter: 0200 General Program Information Program: MFAM 5 0230.0000 Family-Related Medicaid This chapter presents general program information about Family-Related Medicaid Programs. 0230.0001 Caseload Distribution (MFAM) Caseload assignments are frequently made according to the characteristics of a given assistance group and the type of assistance received. These breakdowns are called Temporary Cash Assistance cases, Family-Related Medicaid cases or SSI-Related Medicaid cases. Each type may include food stamps.
A Temporary Cash Assistance case or Family-Related Medicaid case may contain one or more of the following types of assistance: Temporary Cash Assistance (TCA), Refugee Assistance Program (RAP), food stamps, Family-Related Medicaid or Medically Needy.
An SSI-Related Medicaid case may contain one or more of the following types of assistance: Institutional Care Program (ICP), MEDS-AD, Protected Medicaid (PM), Medically Needy, Emergency Medical Assistance for Noncitizens (EMA), Hospice, Home and Community Based Services (HCBS), Refugee Assistance Program (RAP), Qualified Medicare Beneficiaries (QMB), Working Disabled (WD), Special Low Income Medicare Beneficiary (SLMB), Optional State Supplementation (OSS), Part B Medicare Only (PBMO), Home Care for Disabled Adults (HCDA), or food stamps. All programs are Medicaid Programs except OSS, HCDA and food stamps. The Department of Elder Affairs currently handles Home Care for the Elderly (HCE).
A mixed caseload contains one or more Temporary Cash Assistance or Family-Related Medicaid and SSI-Related types of assistance, with or without food stamps.
Child in Care cases are frequently specialized due to the special confidentiality requirements and unique policy. Therefore, they are not considered part of the Temporary Cash Assistance or Family-Related Medicaid caseload and the information about the case is limited to eligibility specialists with special confidential security profiles. 0230.0100 FAMILY-RELATED MEDICAID PROGRAM (MFAM) Family-Related Medicaid is a benefit for children, parents and other caretakers, pregnant women, and individuals under age 26 previously enrolled in Florida Medicaid when they aged out of foster care.
The purpose of Medicaid is to provide a program through which financially needy individuals can obtain medical assistance. 0230.0101 Legal Basis (MFAM) The legal basis for the Medicaid Program is the Affordable Care Act of 2010, Medicaid Extenders Act of 2010, Three Percent Withholding Repeal and Job Creation Act of 2011, Middle Class Tax Relief and Job Creation Act of 2012. Titles XIX and XXI of the Social Security Act, Title 42 of the Code of Federal Regulations, Chapter 65A of the Florida Administrative Code, and Chapter 409 Florida Statutes. 0230.0102 Program Overview (MFAM) Family-Related Medicaid contains the following coverage groups:
1. Parents and other caretaker relatives 2. Pregnant women 3. Infants and children under age 19 4. Children Ages 19-21